The weekly National Plan and Provider Enumeration System(NPPES) database release have climbed to 429 records. NPI database changes in this weekly update have the following details: 1,287 Organization updates, 4,550 individual updates and 223 deactivations. California is the leading state this week with 618 updates of the 6,060 updates. New York follows in second place. New York, with 122 updates is the new leading city this week from the 757 updates of the top ten cities, followed by Houston. In the last update, Houston was the leading city with 135 updates.